Robert Lee Wallace SR.
NPI #1538706957 in Lynn, Massachusetts
Provider Information
- NPI Number
- 1538706957
- Entity Type
- Individual
- Name
- Robert Lee Wallace SR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 4, 2019
- Last Updated
- Dec 4, 2019
Practice Location
- Address
- 100 WILLOW ST
- City
- Lynn
- State
- Massachusetts
- ZIP Code
- 01901-1139
- Phone
- (781) 691-7060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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